Diabetes in the Workplace - Minnesota Health Action Group

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Diabetes in the Workplace - Minnesota Health Action Group
Diabetes in the Workplace:
Taking Action To Improve Health
and Lower Costs
November 13, 2014
Welcome!
2
Today’s Agenda
• Welcome and Background (Carolyn Pare, Action Group President
and CEO)
• The Impact of Diabetes in MN (Edward Ehlinger, M.D., M.S.P.H.,
Minnesota Commissioner of Health)
• Diabetes: Addressing Prevalence, Promoting Prevention (Deepak
Patel, Pharm.D., Novo Nordisk)
• BREAK
• Using Digital Therapeutics to Prevent and Manage Diabetes
(Sandy Schenck, Omada Health)
• Panel Discussion: Extending the Reach of Your Health And
Wellness Initiatives to Surrounding Communities (Norma Streich
and Melissa Vaughn, The Schwan Food Company; Angela Hanson
and Barb Haagenstad, Blue Cross and Blue Shield of Minnesota;
Jennifer Steele and Curt Turner, RedBrick Health)
3
Leadership in Action
Our Members
We’re excited to
celebrate our
newest members:
Blue Earth County
City of Apple Valley
City of Mankato
Fairview Health Services
Independent School District 196
League of Minnesota Cities
Minnesota Inter-County Association
Minnesota School Boards Association
St. Louis County
Wright County
Champions of Change
Minnesota Bridges to Excellence:
Innovating in Minnesota through Collaboration
Leveraging Community
Partnerships and Best Practices
Institute for Clinical
System
Improvement
(ICSI)
Develops guidelines and
drives physician consensus
Leveraging Community
Partnerships and Best Practices
Institute for Clinical
System
Improvement
(SCSI)
Minnesota
Community
Measurement
(MCMN)
Develops guidelines and
drives physician consensus
Measures development, data
aggregation, quality review,
performance rates, public reporting
for increased transparency
Leveraging Community
Partnerships and Best Practices
Institute for Clinical
System
Improvement
(SCSI)
Develops guidelines and
drives physician consensus
Minnesota
Community
Measurement
(MCMN)
Measures development, data
aggregation, quality review,
performance rates, public reporting
for increased transparency
Health Plans
Aligned measure specifications
used by all payers for rewards
Leveraging Community
Partnerships and Best Practices
Institute for Clinical
System
Improvement
(SCSI)
Develops guidelines and
drives physician consensus
Minnesota
Community
Measurement
(MCMN)
Measures development, data
aggregation, quality review,
performance rates, public reporting
for increased transparency
Health Plans
Aligned measure specifications
used by all payers for rewards
Guiding Coalition
Formed guiding coalition of employers,
providers, health plans, MMA, ICSI,
MNCM, Stratis Health; ensure
collaboration, consensus and
success of program
Supporting High-Quality Outcomes
 Improve quality of care
for patients
 Raise level of purchaser and
consumer awareness about
variation in quality
 Spark provider competition
based on quality outcomes
 Reduce cost
Supporting High-Quality Outcomes
 Improve quality of care
for patients
• 400% improvement in health
outcomes since 2006 launch
 Raise level of purchaser and
consumer awareness about
variation in quality
• 126 clinics recognized and
rewarded for providing
excellent care
 Spark provider competition
based on quality outcomes
• 5,600 more Minnesotans
receiving optimal care
compared with prior year
 Reduce cost
• Estimated annual savings
of $1,369 per diabetes patient
• Aggregated claims savings for
Champions: $2,933,219
Reducing the Incidence of Diabetes
through Collaboration and Engagement
Collective Impact creates the environment in which disparate
organizations can focus and succeed against complex problems.
Diabetes prevention is a
complex problem that
cannot be solved by a
single organization.
Reducing the Incidence of Diabetes
through Collaboration and Engagement
Collective Impact creates the environment in which disparate
organizations can focus and succeed against complex problems.
COMMON AGENDA
All participants have a
shared vision for change
including a common
understanding of the
problem and a joint
approach to solving it
through agreed-upon
actions.
Reducing the Incidence of Diabetes
through Collaboration and Engagement
Collective Impact creates the environment in which disparate
organizations can focus and succeed against complex problems.
SHARED MEASUREMENT
Collecting data and
measuring results
consistently across all
participants ensures
efforts remain aligned and
participants hold each
other accountable.
Reducing the Incidence of Diabetes
through Collaboration and Engagement
Collective Impact creates the environment in which disparate
organizations can focus and succeed against complex problems.
MUTUALLY REINFORCING
ACTVITIES
Participant activities must
be differentiated while still
being coordinated through
a mutually reinforcing plan
of action.
Reducing the Incidence of Diabetes
through Collaboration and Engagement
Collective Impact creates the environment in which disparate
organizations can focus and succeed against complex problems.
CONTINUOUS
COMMUNICATION
Consistent and open
communication is needed
across the many players to
build trust, ensure mutual
objectives, and create
common motivation.
Reducing the Incidence of Diabetes
through Collaboration and Engagement
Collective Impact creates the environment in which disparate
organizations can focus and succeed against complex problems.
BACKBONE SUPPORT
Creating and managing
collective impact requires
a separate organization(s)
with staff and a specific
set of skills to serve as the
backbone for the entire
initiative and coordinate
participating organizations
and agencies.
The Minnesota Diabetes
Collective Impact Initiative
To become the State with the lowest
incidence and healthiest outcomes for
diabetes in the country.
The Minnesota Diabetes
Collective Impact Initiative
To become the State with the lowest
incidence and healthiest outcomes for
diabetes in the country.
Prevention: Significantly reduce new cases of
diabetes among those at high risk of developing
the disease.
Care Delivery: Reduce the human burden and
rising cost of care for people with diabetes
and its complications.
The Minnesota Diabetes
Collective Impact Initiative
To become the State with the lowest
incidence and healthiest outcomes for
diabetes in the country.
Prevention: Significantly reduce new cases of
diabetes among those at high risk of developing
the disease.
Care Delivery: Reduce the human burden and
rising cost of care for people with diabetes
and its complications.
More than three dozen organizations including
private plans, industry, community groups,
the Centers for Disease Control, Minnesota
Department of Health, and the American
Diabetes Association
Prevention Strategy
Our efforts will significantly reduce new cases of diabetes
among those at high risk of developing the disease.
Strategy:
Identify, prioritize and scale evidence-based
interventions with the highest benefit for
participants and public and private payers.
Objective:
Ensure the National Diabetes Prevention Program
is offered and available to all Minnesotans for
whom it is indicated.
Strategic Imperatives
Ensure all
Minnesota
payers and
employers
reimburse for
the NDPP
Strategic Imperatives
Ensure all
Minnesota
payers and
employers
reimburse for
the NDPP
Ensure all
providers are
aware of prediabetes, test
for it and refer
to the NDPP
Strategic Imperatives
Ensure all
Minnesota
payers and
employers
reimburse for
the NDPP
Ensure all
providers are
aware of prediabetes, test
for it and refer
to the NDPP
Ensure the
NDPP is
available to
those without
health
insurance
Strategic Imperatives
Ensure all
Minnesota
payers and
employers
reimburse for
the NDPP
Scale a
diverse
workforce to
deliver the
NDPP
Ensure all
providers are
aware of prediabetes, test
for it and refer
to the NDPP
Ensure the
NDPP is
available to
those without
health
insurance
Strategic Imperatives
Ensure all
Minnesota
payers and
employers
reimburse for
the NDPP
Ensure all
providers are
aware of prediabetes, test
for it and refer
to the NDPP
Scale a
diverse
workforce to
deliver the
NDPP
Generate
awareness
about prediabetes and
drive those at
risk to test and
enroll
Ensure the
NDPP is
available to
those without
health
insurance
Strategic Imperatives
Ensure all
Minnesota
payers and
employers
reimburse for
the NDPP
Ensure all
providers are
aware of prediabetes, test
for it and refer
to the NDPP
Ensure the
NDPP is
available to
those without
health
insurance
Scale a
diverse
workforce to
deliver the
NDPP
Generate
awareness
about prediabetes and
drive those at
risk to test and
enroll
Develop
infrastructure
to coordinate
efforts and
monitor
progress until
scale
achieved

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